Daub, Marlon F.

HRN: 22-82-84  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
04/13/2023
CEFTRIAXONE 1G (VIAL)
04/13/2023
04/20/2023
IV
2GMS
OD
LIVER ABSCESS
Waiting Final Action 
04/13/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
04/13/2023
04/20/2023
IV
750MG
TID
LIVER ABSCESS
Waiting Final Action 
04/16/2023
METRONIDAZOLE 500MG (TAB)
04/16/2023
04/19/2023
ORAL
500 Mg
Q8
Amoebic Abcess
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: